Mr. Gerald Gene Odom Sr.
Mr. Gerald Gene Odom Sr. is a Mental Health Counselor in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
3010 Grand AveWaukegan, IL 60085-2321
Phone: (284) 737-7868
Fax: (847) 377-8688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (IL) |
|---|
Record details
| NPI number | 1548535966 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 19, 2012 |
| Last updated in NPPES | March 19, 2012 |
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